- ADM (Chicago, IL)
- …captive's external captive managers, regulators, and rating agency. **Job Requirements:** + Prior experience as Director of Insurance (or equivalent) at large ... **88434BR** **Job Title:** Director Insurance & Risk Management **Department/Function:** Risk Management **Job Description:** ** Director , Insurance & Risk… more
- AIG (Atlanta, GA)
- …or equivalent required. Multi-state adjuster licenses and/or JD highly preferred. + Prior claims management experience desired. + Must possess excellent ... customers to manage risk. Join us as a Complex Claims Managing Director to play your part...Analysts/Complex Directors to achieve technical excellence. + Conduct periodic claim file audits of field claims practices… more
- Banner Health (Phoenix, AZ)
- … Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational ... This includes implementation of best practices, financial responsibility for performance of claims including oversight of claim reserves and outcomes, and… more
- Travelers Insurance Company (St. Paul, MN)
- …$106,300.00 - $175,400.00 **Target Openings** 1 **What Is the Opportunity?** The Director , Business Delivery is responsible for taking a high level business vision, ... broad and results from multi-year aspirational goals. The Business Delivery Director , working collaboratively with the technology leaders, is responsible for… more
- Sedgwick (Bartlesville, OK)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director of Claims **PRIMARY PURPOSE** : To be responsible for the ... and/or AIC certifications preferred. Licenses as required. **Experience** Ten (10) years claims management experience including three (3) years prior supervisory… more
- CommuniCare Health Services Corporate (Akron, OH)
- …for proper documentation and will ensure that all necessary data was verified prior to billing. Additional responsibilities: + Check claim to verify correct ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following up ... complex or problem claims or insurance types as designated by the Director . Reviews payer coding policies and procedures to ensure that the department remains in… more
- Kwest Group LLC (Perrysburg, OH)
- …coordinate legal review on first time/initial contracts with the senior project manager and director of operations prior to execution of an agreement by a Kwest ... estimates, schedule updates, and other necessary documents for review with the director of operations. Assist the project foremen with subcontractors and suppliers… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...and SNAP only sites, Quality Control and Internal Audits prior to establishing in WMS. - Conduct day to… more
- Department of Energy (Washington, DC)
- …waivers, and consents as provided for in individual loan guarantee agreements, pre- claim structuring, claim payments, post- claims restructurings, and ... proactive monitoring and management of all closed LPO loan guarantees. The Deputy Director , PMD, exercises leadership and possesses a high degree of business acumen… more
- Commonwealth of Pennsylvania (PA)
- Director of Farm Viability and Natural Resource Division (Conservation Program Manager) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4727556) ... Apply Director of Farm Viability and Natural Resource Division (Conservation...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- USAA (Charlotte, NC)
- …standards. Makes recommendations for severity ratings to Senior Audit Manager (SAM)/ Director . May communicate with regulators. + Utilizes and provides guidance to ... ability to deal with competing priorities. **What sets you apart:** + Prior experience working in a fraud-related role (eg, fraud investigations, fraud QA/QC,… more
- UPMC (Pittsburgh, PA)
- …potential and current claims with relevant internal departments and UHCIP claims investigator and make appropriate recommendations to Director for approval ... is systematic management of potential as well as actual claims . Clinical data will by analyzed to determine areas...Answers to Interrogatories, review Answers to Complaints and Interrogatories prior to Director 's review and signature, schedule… more
- Prime Healthcare (Farmers Branch, TX)
- …https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Corporate Director of Billing Optimization is ... optimization and improved metrics across the clearing houses. The Director will partner with revenue cycle and business office...are not limited to: 837 files, billing edits, clean claim rate standards, billing errors and trends, as well… more
- Atrius Health (Newton, MA)
- …accurate and correct data. Has responsibility for the calculation and monitoring of claims liability reserves from prior years' risk arrangements. | Provides ... *SUMMARY* Under executive direction, the Associate Director Medex/DW Healthcare Economics Optum Massachusetts is responsible for all aspects of assessing,… more
- State of Colorado (Denver, CO)
- ECMC Deputy Director of Policy (Program Management III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4737571) Apply ECMC Deputy Director ... those having an interest in Colorado's energy resources. This position supports the Director as a Deputy Director responsible for policy, agency fiscal planning… more
- The Cigna Group (Bloomington, MN)
- …in over $4B of revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for protecting and growing this business ... through driving our high-cost claim strategy, maximizing Cigna's ability to assess risk, and...that enhance affordability and improve the predictability of high-cost claims for clients. + In partnership with Cigna's Affordability,… more
- US Marine Corps (New Orleans, LA)
- …a variety of correspondence. Compose, edit and proofread reports and correspondence prior to Director 's/Deputy Director 's signature. Creates spreadsheets, ... budgets; assisting in developing financial plans, obligating funds, liquidating travel claims ; maintaining stock of office supplies, making arrangements for special… more